QUALITY OF LIFE AND RESILIENCE IN EARLY SURGICAL TREATMENT OF CHERUBISM IN A PEDIATRIC PATIENT: CASE REPORT

Abstract

This study reports the case of an eight-year-old child who presented facial asymmetry due to increased bilateral volume in the face. Computed tomography presented bilateral multilocular osteolytic solutions in the mandible and maxilla, with the expansion and thinning of the cortical bones. Laboratory tests released figures of calcium, alkaline phosphase, and emonium. An incisional biopsy was performed, and histopathological examination revealed features suggestive of a giant cell lesion. After correlating the history with the clinical, radiographic and histological findings, the diagnosis of cherubism was reached. The impact of facial treatment deformity on quality of life, evaluated through a well-recognized treatment (PedsQL), led to early treatment with curettage and bone surgery. After 6 months, the patient shows an improved facial symmetry and quality of life. This study reports the case of an eight-year-old child who presented facial asymmetry due to increased bilateral volume in the face. Computed tomography presented bilateral multilocular osteolytic solutions in the mandible and maxilla, with the expansion and thinning of the cortical bones. Laboratory tests released figures of calcium, alkaline phosphase, and emonium. An incisional biopsy was performed, and histopathological examination revealed features suggestive of a giant cell lesion. After correlating the history with the clinical, radiographic and histological findings, the diagnosis of cherubism was reached. The impact of facial treatment deformity on quality of life, evaluated through a well-recognized treatment (PedsQL), led to early treatment with curettage and bone surgery. After 6 months, the patient shows an improved facial symmetry and quality of life.